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NPI Code Detail

MEDICARE: H20 SUPPLIESLLC

MEDICARE: H20 SUPPLIESLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1699609362
Entity Type Code : Organization
Provider Name (Legal Business Name) : H20 SUPPLIESLLC
Provider Business Mailing Address
First Line : 212 N 2ND ST # 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 910-227-4916
Fax Number : 346-771-1189
Provider Business Practice Location Address
First Line : 212 N 2ND ST # 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 910-227-4916
Fax Number : 346-771-1189
Authorized Official
Title or Position : DME
Name : SYED OMRAN LNU
Credential :
Telephone Number : 910-227-4916
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “H20 SUPPLIESLLC ” Practice Location

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